University Basic Health Care Centre (UBAS), Bauru School of Dentistry, University of São Paulo, Bauru, SP, Brazil.
Clin Oral Investig. 2011 Apr;15(2):265-71. doi: 10.1007/s00784-009-0378-x. Epub 2010 Feb 6.
This study evaluated the 10-year clinical performance of high-viscosity glass-ionomer cement placed in posterior permanent teeth by means of the Atraumatic Restorative Treatment (ART) approach. One operator placed 167 single- and 107 multiple-surface restorations in 43 high-risk caries pregnant women (mean decayed teeth = 9.8 ± 5.5). Examinations were performed at 1-, 2-, and 10-year intervals according to ART criteria. In the last evaluation, the US Public Health Service (USPHS) criteria were also used. After 10 years, 129 restorations (47.1%) were evaluated and achieved a cumulative survival rate of 49.0% (SE 7.2%). The 10-year survival of single- and multiple-surface ART restorations assessed using the ART criteria were 65.2% (SE 7.3%) and 30.6% (SE 9.9%), respectively. This difference was significant (jackknife SE of difference; p < 0.05). Using the USPHS criteria, the 10-year survival of single- and multiple-surface ART restorations were 86.5% and 57.6%, respectively. The primary causes of failure were total loss (9.3%) and marginal defects (5.4%). The survival rates observed, especially for the single-surface restorations, confirm the potential of the ART approach for restoring and saving posterior permanent teeth.
本研究通过微创修复治疗（ART）的方法评估了高粘度玻璃离子水门汀在后牙永久修复中的 10 年临床性能。一名操作者为 43 名高龋风险孕妇（平均患牙数=9.8±5.5）进行了 167 个单表面和 107 个多表面修复体的治疗。根据 ART 标准，在 1 年、2 年和 10 年的间隔进行检查。在最后一次评估中，还使用了美国公共卫生服务（USPHS）标准。10 年后，对 129 个修复体（47.1%）进行了评估，累积存活率为 49.0%（SE 7.2%）。根据 ART 标准评估的单表面和多表面 ART 修复体的 10 年存活率分别为 65.2%（SE 7.3%）和 30.6%（SE 9.9%），差异有统计学意义（差异的折刀 SE，p<0.05）。根据 USPHS 标准，单表面和多表面 ART 修复体的 10 年存活率分别为 86.5%和 57.6%。失败的主要原因是全部丧失（9.3%）和边缘缺陷（5.4%）。观察到的存活率，尤其是单表面修复体的存活率，证实了 ART 方法在后牙永久修复中的潜力。
